Ryuusuke Ono writes:

        The most important issue for T to understand right now is that he is in danger of dying of coronary heart disease (CHD), such as myocardial infarction and heart attack. Generally, it is said that there are at least six risk factors for CHD, that is to say, (1) current cigarette smoking, (2) physical inactivity, (3) being overweight, (4) high blood pressure, (5) high cholesterol, and (6) diabetes. These risk factors cause atherosclerosis of the coronary artery, and as a result, it could bring about myocardial infarction or heart attack. He certainly has three risk factors: (1),(2),and(4). It shows that he has a big possibility of coming down with heart disease. He should understand that heart disease does not attack accidentally, but results from those risk factors.

        There are three more concerns regarding T's heart condition. Firstly, he overworks. This breeds much stress and makes his physical and medical condition worse. Secondly, he has been diagnosed hypertensive. This is one of the risk factors for a coronary heart attack. Thirdly, he could have a hereditary predisposition to atherosclerosis, since his mother died after heart by-pass surgery complicated by hardening of the arteries.

        In order to lessen his chest pain in the short term, he should see a doctor right now and have the doctor prescribe a painkilling drug like aspirin or something else. Although aspirin costs very little and is very effective, it is not so good to take too much because it has side effects.

        In order to prevent heart disease in the long term, he should improve his lifestyle, considering three points: smoking, overworking, and not exercising.

        Firstly, he should quit smoking. According to recent research, it is confirmed that current smoking promotes accumulation of cholesterol along the inner walls of the coronary arteries. This suggests that if he does not give up smoking, his risk of heart disease will remarkably increase. In contrast, if he quits smoking, the increase of his coronary wall thickness will be much less than if he continues smoking. Secondly, he overworks. Overwork could cause mental and physical stress, and result in many kind of diseases.

        Thirdly, he should do some exercises. Exercising has much potential to reduce cholesterol in blood, and could help dilate coronary arteries. Research says that long-distance runners have a greater capacity to dilate their coronary arteries. So, if he starts running again, his risk of heart disease could decrease. It is also good to do other sports he likes on holidays. I think if he wants to be an excellent businessman, he must do some exercising. Because it should be a part of work to keep good health condition.

        It is important for him to know that he is in danger of dying of heart disease. He will be convinced if he sees a doctor, and then the doctor shows him the condition of his coronary arteries by ultrasound imaging. And he should understand he is no longer young. The age of 39 is the age in which many kinds of disease arise. The walls of his arteries gradually thicken as he ages. Besides, as he is a heavy smoker, his coronary arteries walls could be as thick as that of a non-smoker who is fifty. It is necessary for him to allot time to exercising. Even if he says that he is too busy, there is time for at least 30 minutes a day to exercise. There are many kinds of sports. Among them, he can find a sport which is easy and effective.

         

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